COLLECTIVE AGREEMENT. SAULT AREA HOSPITAL (hereinafter referred to as "the Hospital")

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1 COLLECTIVE AGREEMENT Between: SAULT AREA HOSPITAL (hereinafter referred to as "the Hospital") And: ONTARIO NURSES' ASSOCIATION (hereinafter referred to as "the Association") EXPIRY: March 31, 2016 GENER02C16.docx

2 TABLE OF CONTENTS APPENDIX 3 - SALARY SCHEDULE... 1 APPENDIX 4 - SUPERIOR CONDITIONS... 4 APPENDIX 5 - LOCAL ISSUES... 6 ARTICLE A - RECOGNITION... 6 ARTICLE B - MANAGEMENT RIGHTS... 6 ARTICLE C - INTERVIEW FOR NEW EMPLOYEES... 6 ARTICLE D - ASSOCIATION REPRESENTATIVES AND COMMITTEES... 7 ARTICLE E - SENIORITY LISTS... 7 ARTICLE F - ASSOCIATION BUSINESS LEAVE... 7 ARTICLE G - SICK LEAVE... 9 ARTICLE H - PAID HOLIDAYS... 9 ARTICLE I - VACATIONS ARTICLE J - HOURS OF WORK ARTICLE K - SCHEDULING REGULATIONS ARTICLE L - GENERAL ARTICLE M - PRE-PAID LEAVE ARTICLE N - JOB SHARING ARTICLE O WORKPLACE SAFETY AND INSURANCE BOARD/L.T.D ARTICLE P - RETURN TO WORK OF DISABLED WORKERS ARTICLE Q VIOLENCE IN THE WORKPLACE ARTICLE R MUSCULOSKELETAL INJURY PREVENTION AND CONTROL ARTICLE S NEEDLESTICK/SHARPS SAFETY SIGNING PAGE LETTER OF UNDERSTANDING Re: Composite Positions LETTER OF UNDERSTANDING Re: Float Pools RN Float Pool and Critical Care Float Pool LETTER OF UNDERSTANDING Re: On Call Sexual Assault Care Centre / Domestic Violence Program LETTER OF UNDERSTANDING Re: Internship Programs LETTER OF UNDERSTANDING Re: Late Career Initiative LETTER OF UNDERSTANDING Re: Mentorship Programs LETTER OF UNDERSTANDING Re: Registered Nurse First Assist LETTER OF UNDERSTANDING Re: New Graduate Initiative LETTER OF UNDERSTANDING Re: Article Innovative Unit Scheduling LETTER OF UNDERSTANDING Re: Innovative Schedule - PACT APPENDIX A PACT MASTER SCHEDULE LETTER OF UNDERSTANDING Re: ESA Hours of Work LETTER OF UNDERSTANDING Re: Casual Position Cardiac Cath Lab-Critical Care Program LETTER OF UNDERSTANDING GENER02C16.docx

3 Re: Blending of Units Under Algoma District Cancer Program (ADCP) LETTER OF UNDERSTANDING Re: Blending of Units Under Ambulatory Care LETTER OF UNDERSTANDING Re: Complex Continuing Care / Rehab Unit LETTER OF UNDERSTANDING Re: Continuation of 2A/2P (4 on/5off -Extended Tour- Day, Day, Night, Night) SCHEDULE Emergency Department (ED) Emergency Department 2A/2P MASTER SCHEDULE LETTER OF UNDERSTANDING Re: Vacation Selection Guidelines for Units With 2A/2P Scheduling LETTER OF UNDERSTANDING Re: Trial 2A/2P (4 on/5off -Extended Tour- Day, Day, Night, Night) SCHEDULE Intensive 78 Care Unit Department (ICU) Intensive Care Unit Department 2A/2P MASTER SCHEDULE Year Intensive Care Unit Department 2A/2P MASTER SCHEDULE Year Intensive Care Unit Department 2A/2P MASTER SCHEDULE Year GENER02C16.docx

4 L1 APPENDIX 3 - SALARY SCHEDULE HOURLY RATES Classification - Registered Nurse Effective Effective April 1, 2014 April 1, 2015 Start Year Years Years Years Years Years Years Years Years Classification Graduate Nurse Effective Effective April 1, 2014 April 1, 2015 Start Year Years Years Years Years Years Years Years Years GENER02C16.docx

5 Classification Program Coordinator/Nurse Clinician Rates L2 Effective Effective April 1, 2014 April 1, 2015 Start Year Years Years Years Years Years Years Years Years Program Coordinator includes: Primary Care Coordinator, MDS Coordinator, Medical Resource Nurse, Team Coordinator, Primary Nursing Coordinator, Cardiac Care Coordinator, and Oncology District Coordinator, CRUM Case Reviewer, Pain Resource Nurse, Stroke Nurse, District Stroke Nurse Coordinator, Blood Transfusion Coordinator, Vascular Access Resource Nurse, Infection Control Practitioner, Team Coordinator, Patient Care Coordinator, Corporate Nurse Educator, Body Access Coordinator (Algoma Regional Renal Program), GEM Nurse, Telehealth Nurse Coordinator, Oncology Nurse Liaison, Oncology Nurse Navigator, Oncology Patient Support Navigator-Systemic, Oncology Patient Support Navigator-Surgery, Independent Dialysis Coordinator (Algoma Regional Renal Program), Renal Modality Coordinator, and the Bone Health Clinical Resource Nurse. Nurse Clinician includes: Clinical Educator and Nursing Practice Leader Classification Clinical Nurse Specialist Effective Effective April 1, 2014 April 1, 2015 Start Year Years Years Years Years Years Years Years Years GENER02C16.docx

6 L3 Classification RNFA Effective Effective April 1, 2014 April 1, 2015 Start Year Years Years Years Years Years Years Years Years Classification Nurse Practitioner Effective Effective April 1, 2014 April 1, 2015 Start Year Years Years Years Years Years Years GENER02C16.docx

7 L4 APPENDIX 4 - SUPERIOR CONDITIONS 1. In providing the list of nurses from whom dues deductions were made in each month, the Hospital shall also include the following information: the names of those nurses on leaves of absence and of those nurses who have terminated their services that month. In addition to the foregoing, the Hospital will supply the Association with addresses of new employees when they are placed on the check-off list for the first time. 2. Educational Allowance Special Preparation Bonuses Per Month Per Shift (Full-time) (Part-time) (1) A.C.L.S. Course $ (2) Special Courses or Introduction to Nursing Management or 6 months post-graduate O.R. course $ (3) One year University Diploma $ (4) Bachelor's Degree $ (5) Master's Degree $ These bonuses shall be paid only when, in the judgement of the Hospital, the position of the nurse requires the educational qualifications set out above. 3. Sick Leave Provisions All registered and graduate nurses in the employ of the Hospital as of October 31, 1981, shall be entitled to the following: (1) Sick leave under the former plan was accumulated after the first three (3) months of employment for a maximum of one hundred and twenty (120) days. (2) One-half (½) of the unused portion of sick leave, up to a maximum of eighty (80) days shall be paid to each nurse who has five (5) years, or more, seniority on voluntary severance of her employment from the Hospital. 4. Nurses in the employ of the Hospital on October 23, 1981, shall be governed by the following seniority clause: A nurse on authorized leave of absence for less than three (3) months shall be re-instated in her former position or in a position of equivalent status, on return to work, without loss of seniority. GENER02C16.docx

8 L5 5. Where a casual part-time nurse works on any of the holidays listed in Article of the full-time Agreement, she shall be paid at the rate of time and onehalf (1½) her regular straight time hourly rate for all hours worked on such holiday, subject to the application of Article regarding hours worked in addition to the full tour. 6. Nurse Practitioner/ R.N.E.C. will be entitled to five (5) weeks vacation following one year of continuous full-time service. Thereafter vacation entitlement increases will be in accordance with Article16. Scheduling of vacation shall be at a time mutually agreed between the Nurse Practitioner/ R.N.E.C. and his/her Manager. GENER02C16.docx

9 L6 APPENDIX 5 - LOCAL ISSUES ARTICLE A - RECOGNITION A-1 The Hospital recognizes the Association as the Bargaining Agent for registered and graduate nurses employed in a nursing capacity by: Sault Area Hospital Save and except for Nursing Managers, persons above the rank of Nursing Managers and Health Nurses. ARTICLE B - MANAGEMENT RIGHTS B-1 The Association recognizes that the management of the Hospital and the direction of the working force are fixed exclusively in the Hospital and shall remain fully, with the Hospital except as limited by a provision of this Agreement. Without restricting the generality of the foregoing, the Association acknowledges that it is the exclusive function of the Hospital to: (a) (b) (c) (d) (e) maintain order, discipline and efficiency; hire, assign, retire, discharge, direct, promote, demote, classify, transfer, lay-off, recall, suspend or otherwise discipline nurses, provided that a claim of discharge or discipline including transfer and demotion without just cause may be the subject of a grievance and dealt with as hereinafter provided; determine in the interest of efficient operations and highest standards of service, job rating or classification, the hours of work, work assignment, methods of doing the work and the working establishment for any service; determine the number of personnel required, the services to be performed and the methods, procedures and equipment in connection therewith; discuss with the Association, make, enforce and alter from time to time reasonable rules and regulations to be observed by the nurses, provided that such rules and regulations shall not be inconsistent with the provisions of this Agreement. B-2 It is agreed that these rights shall not be exercised in a manner inconsistent with the provisions of this Agreement. ARTICLE C - INTERVIEW FOR NEW EMPLOYEES C-1 The Hospital will give an Association representative an opportunity to interview new nurses during the orientation period. GENER02C16.docx

10 ARTICLE D - ASSOCIATION REPRESENTATIVES AND COMMITTEES L7 D-1 Full-time and part-time nurses under this Agreement will be represented in accordance with the following provisions: (a) Nurse Representatives The Hospital acknowledges the right of the Association to appoint or otherwise select one nurse representative for each nursing unit at all Hospital sites. (b) Negotiating Committee A Negotiating Committee comprised of not more than six (6) nurses provided there are not more than two (2) nurses from any unit. (c) Grievance Committee A Grievance Committee of not more than five (5) nurses. (d) Hospital-Association Committee The Hospital-Association Committee will be composed of five (5) nurses appointed by the Association and five (5) members appointed by the Hospital. (e) Professional Development Committee A Professional Development Committee will be comprised of not more than four (4). One of these members will be the Bargaining Unit President or designate. (f) The Local O.N.A. President and the appropriate Hospital Vice President may sit as ex officio on committees noted in b), c) and d) above. ARTICLE E - SENIORITY LISTS E-1 Seniority lists will be posted semi-annually March 31st and September 30th. Upon the posting of the seniority lists, employees shall have sixty (60) calendar days in which to file complaints and if no complaints are filed, it is deemed that the seniority list as posted is correct. Such semi-annual seniority lists are posted for information purposes only. Four (4) weeks prior to the posting of the semi-annual seniority lists, the bargaining unit President will be provided with a copy. ARTICLE F - ASSOCIATION BUSINESS LEAVE F-1 Association Leave - Local Business GENER02C16.docx

11 L8 (a) In making application for leave of absence for Association business, it is understood that the total leave for all nurses affected shall not exceed 200 days in any calendar year. (b) The Association will make a written request for such leave at least two (2) weeks in advance and will be given a written reply within five (5) working days after the request is received. (c) (d) Provided prior notice is given, a nurse who has a scheduled day off on a day that she is required to attend an Association function will, if she so requests, be granted an additional day off without pay. The original scheduled day off will be treated as a leave of absence for Association business under Article of the Central Agreement. Such change shall be scheduled by the Nursing Manager at a mutually agreeable time and will not result in premium payment. In any area, a request for a leave of absence shall be as follows: i) The first Association Business Leave will automatically be granted. ii) If by chance requests for Association leave involve more than one person, the second or third leave would be granted depending on: 1. Availability of skilled staff for replacement, and F-2 Association Leave - Provincial Committee 2. An understanding by the parties that no more than 2/3 of the regular full-time number of staff in the unit concerned shall be away at any time on any kind of leave. A nurse who is elected to a Provincial Committee of the Ontario Nurses' Association shall be granted upon request such leave(s) of absence as she may require to fulfil the duties of her position. Reasonable notice shall be given to the Employer for such leave of absence. There shall be no loss of seniority or service during such leave of absence. Leave of absence under this provision shall be in addition to the Association leave provided elsewhere in this Agreement. During such leave of absence, the nurse's salary and applicable benefits shall be maintained by the Employer and the Association agrees to reimburse the Employer in the amount of the full cost of such salary and applicable benefits. F-3 Local Coordinator Leave The Hospital agrees to grant leaves of absence, without pay, to nurses elected to the position of Local Co-ordinator. Subject to reasonable notice, it is understood and agreed that a Local Co-ordinator shall be granted such leave(s) as she or he may require fulfilling the duties of the position. Such leave shall be excluded from Union Leave as outlined in Article F-1(a). GENER02C16.docx

12 L9 ARTICLE G - SICK LEAVE G-1 Nurses shall provide the Hospital with a minimum of six (6) hours notice, where possible, when cancelling a shift due to sickness or other causes, with the exception of the day tour where as much advance notice as possible will be given. G-2 (a) Nurses being off work on sick leave for one (1) to three (3) days shall provide their Unit Manager or designee with at least eight (8) hours notice where possible of intent to return to work. (b) (c) (d) Nurses being off work on sick leave for more than three (3) days shall provide their Unit Manager or designee with at least twenty-four (24) hours notice where possible of intent to return to work. Nurses off work on sick leave for more than two (2) weeks shall provide their Unit Manager or designee with at least forty-eight (48) hours notice where possible of intent to return to work. The expectation will be that the nurse will notify his/ her unit of his/her absence from work. In the case of an infectious or respiratory disease, the nurse will contact the Occupational Health Nurse. ARTICLE H - PAID HOLIDAYS H-1 The following holidays are the paid holidays referred to in Article 15 of the Agreement: New Year s Day Family Day Good Friday Victoria Day Second Monday in June Canada Day - July 1 August Civic Holiday Labour Day Thanksgiving Day Remembrance Day Christmas Day Boxing Day H-2 (i) Lieu days off shall be scheduled at a mutually agreeable time to be taken thirty (30) days before or ninety (90) days after being earned in accordance with Article K-10. (ii) Failure of the nurse to request the Lieu Day ninety (90) days after being earned will result in the Unit Manager pre-scheduling said Lieu Day. (iii) Should the Employer be unable to grant the nurse s request as per H-2 (i), the nurse shall carry a stat over beyond the ninety (90) days of being earned. H-3 Nurses shall be paid for actual hours worked on a paid holiday. H-4 The Hospital will make every reasonable attempt for paid holidays to be shared equally amongst the regular part-time nurses in the same unit. GENER02C16.docx

13 L10 H-5 Where a regular part-time nurse is scheduled to work a weekend when a paid holiday occurs on the Friday or Monday she will also be scheduled to work the holiday where it is available for part-time replacement. This clause is exclusive of Christmas Day, Boxing Day and New Year's Day. H-6 A part-time nurse scheduled off on a holiday weekend shall have the paid holiday included with her weekend off. ARTICLE I - VACATIONS I-1 (a) The cut off date for determining vacation entitlement is January 1 in any year. (b) A Regular Part-time nurse is entitled to vacation time based on length of employment, as of January 1st in any year. The amount of time off will be the same as that of a Full-time nurse with the equivalent employment time. A regular Part-time nurse may utilize accumulated vacation bank to maintain salary during vacation period. A nurse will request in writing two weeks prior to taking approved vacation, an amount of monies from her vacation bank for the purpose of income while on vacation. Remaining vacation accrual in the nurse s vacation bank shall be paid out at the end of the calendar year on the first full pay period in January. I-2 (a) Vacation will not be allotted for the calendar week in which Christmas Day occurs, or for the calendar week in which New Year s Day occurs. (b) When the Hospital institutes a reduction of service in any department that affects staffing patterns, nurses in the affected department will be able to commonly share this time by utilizing remaining vacation days if they so desire as is the present practice. (c) i) For the vacation time period of the calendar week that falls immediately after New Year s Day to the vacation week previous to Christmas Day, the vacation list will be posted on the 3 rd Monday of October to the 3 rd Monday of November. The approved vacation list will be reposted by the Manager by the first Monday following December 1 st. ii) Nurses shall be allowed to have a total of 37.5 hours of vacation time held outstanding for the purpose of I-2 (h) following the first Monday of March 1 st. These hours must be taken prior to the calendar week in which Christmas Day occurs. (d) The posted vacation list will contain the following information. i) Names of nurses in order of seniority beginning with the most senior. GENER02C16.docx

14 L11 ii) iii) iv) The hours of vacation to which each nurse is entitled in accordance with Article 16 will appear on the October schedule. The number of nurses that will be allowed off (both full-time and part-time) at one time during the posted period(s) will be determined by the Unit Manager. The time frame that each nurse has to select his/her vacation according to his/her seniority. The selection time frame will differ on each unit as the numbers of nurses (full-time and part-time) vary on each unit. The intent is to have a fair equitable approach for all nurses selecting vacation. No single nurse shall hold up the vacation selection process. Within the time frames of selecting vacation, the most senior nurse will select first and the most junior nurse will select last. The formula for each nurse to select vacation will be: number of nurses selecting divided by the number of days for which the request time is posted. (e) Nurses will exercise their seniority rights when booking vacation. (f) i) Vacation lists for full-time will be separate and distinct from parttime and pertain to bargaining unit nurses only. ii) iii) In exercising this right nurses may only choose two (2) weeks during prime time that being defined as June 1st, to September 15th unless other arrangements are made between the Unit Manager and the nurse. Under these conditions should prime time be left open the additional weeks will be available to nurses who do not have two (2) weeks vacation during prime time on a seniority basis. (g) i) If a nurse should require a cancellation of booked vacation, she/he will be entitled to do so providing that he/she has given written notice to the Unit Manager prior to the unit schedule being posted. ii) iii) Only for an extenuating circumstance shall a nurse be allowed to cancel his/her approved vacation once the unit schedule is posted, such request will not be unreasonably denied. Article shall apply. In the event that this occurs, the Hospital is under no obligation to reinstate the previously scheduled shifts and the nurse will not be entitled to exercise bumping rights nor shall she/he be allowed to displace another nurse from his /her approved vacation. In the event that a nurse cancels approved vacation after the completion of the vacation booking process the Hospital is under no obligation to offer the available vacation to other nurses. (h) Where possible, the Hospital shall endeavour to grant single vacation day requests. GENER02C16.docx

15 L12 (i) Where there are extenuating circumstances, a nurse may request from the Director of the Unit Program or designate the opportunity to carry over up to fifteen (15) days of vacation to the next vacation year. I-3 Vacation monies owing as a result of of the central agreement will be paid on the second pay cheque in February following the end of the vacation year. I-4 A full-time nurse's vacation pay and pay for time worked shall be available to the nurse on the last day to be worked previous to vacation time, provided that the nurse submits in writing to the Unit Manager a request for vacation pay two (2) weeks prior to vacation time. I-5 Pre-approved vacation will be counted towards commitment at the time of initial posting, based on seniority and the number of hours available. For example, if the nurse was to have four (4) shifts over four weeks and takes one-week vacation, then the one-week of vacation would be counted as one shift. If the nurse takes two weeks vacation, then the vacation would be counted as two shifts. Less than one week of vacation will not be counted toward commitment. I-6 The parties agree that when a master rotation is changed, the following terms will apply; (a) The vacation reselection will only occur after: i) The new master rotation prepared by the Hospital has been posted; ii) iii) The Hospital has determined which line within the master each individual nurse has been assigned; and The week the new master rotation will commence. (b) (c) (d) The Manager of the unit concerned will post a memorandum at least two (2) weeks prior to the start of the reselection time frame for the required reselection, advising nursing staff of reselection and the reposting date. A copy of this memorandum will be provided to the Union. Nurses who have approved vacation on the existing list during the time frame impacted by the new master rotation will be asked in the memorandum to indicate whether they would like to keep the already approved vacation time. They will make this selection within four (4) days of the posting of the memorandum. Thereafter, nurses will make their indication known as follows: i) If they would like to reschedule their vacation, they must mark the dates(s) in pen, in which event it will be considered based on the criteria set out in the posted memorandum; ii) If the nurse is not available to make the selection in person, they may phone in their selection, failing which they can leave their selection with the Manager. GENER02C16.docx

16 L13 (e) (f) (g) The Hospital will then post the new vacation list in accordance with the criteria in Article I-2 (d). In departments/units where there are thirty (30) or less full-time nurses, each individual nurse s time frame for reselection shall be no less than one (1) day (24 hours) starting at 0700 hours. In those departments/units where there are more than thirty (30) full-time nurses, the reselection process must be completed within thirty (30) days and the time frame for reselection will be based on a formula of the number of full-time nurses selecting divided by thirty (30) days, provided that an endeavour will be made to have the most senior make their selection as quickly as possible, to give each of the other nurses a day to make their selection. The approved new vacation list will be posted by the Manager within a maximum of seven (7) days. ARTICLE J - HOURS OF WORK J-1 The Hospital operates 24 hours per day, seven days a week. J-2 Day shift is recognized as the first shift of the day. J-3 The Hospital shall continue its current scheduling practice relative to rest periods. J-4 If requested by the nurse, the Hospital shall allow the practice of time off with pay in lieu of overtime payment. Unless mutually agreed to do otherwise, such hours will be taken within three pay periods of occurrence or during booked unit closures. ARTICLE K - SCHEDULING REGULATIONS K-1 (a) For the purposes of Article K predetermined shall mean the original posted schedule. (b) (c) (d) The parties agree to establish Master (cyclic) Rotations consisting of 1950 hours per year. Nursing schedules will be posted two (2) weeks in advance of the expiration of the posted schedule and shall cover an eight (8) week period. Request for Tour Changes A nurse must give the Hospital, in writing, at least 24 hours notice of intent to exchange a shift together with an undertaking signed by the nurse willing to accept such exchange. Shift exchanges involving one or more part-time nurse(s) must be exchanged within the same four (4) week period. Shift exchanges involving extended tours and 7.5 hour tours may be allowed. Nurses may be allowed to exchange 12 hour tours resulting in a 2D/2N schedule. Shift exchanges, including shifts offered GENER02C16.docx

17 L14 following the shift exchange will not result in premium payment and is subject to the approval of the Hospital. Three eight (8) hour shifts may be traded for two (2) twelve (12) hour shifts. Partial tours may be traded for partial tours (e.g. four (4) hours for four (4) hours, minimum hours to be traded). Partial tour exchanges may be denied due to continuity of patient care. (e) Time Off at Christmas or New Year's i) It is understood it may be necessary to waive the master rotation between December 15 to January 15. ii) The Hospital will endeavour to provide a minimum of five (5) consecutive days off either at Christmas or New Years. For the purpose of this Article, "Christmas" shall be defined as December 24, 25, and 26 and "New Year's" shall be defined as December 31 and January 1. iii) The Hospital will endeavour to alternate time off between Christmas and New Years from year to year based on the previous years predetermined schedule. iv) The Christmas schedule will be posted by November 15 th. v) K-1 (c) will not be waived (f) (g) An agreement by a nurse to do additional tours or change tours as requested by the Hospital is not to be construed to be a waiver of premium pay where applicable. A full-time nurse may request to work a permanent evening or night shift. Where such request is made the following conditions shall apply: i) The nurse will submit a written request to the Manager with a copy to the Union. ii) iii) iv) The Manager will provide a written response to the nurse stating her ability to honour such a request, with the provision that either the nurse or the Manager may discontinue the scheduling arrangement with four (4) weeks written notice. A copy of such response shall be forwarded to the Union. The Collective Agreement shall apply with the exception of K-3 (d) and K-4 (f). The permanent shift arrangement applies to the individual nurse, not to the position and therefore when a nurse vacates such arrangements, said vacant line will revert back to a regular rotating line consistent with the remainder of the master rotation. GENER02C16.docx

18 L15 v) A nurse on permanent evening or night shift will twice a year spend two (2) weeks on day shift at a mutually agreeable time. These intervals will be at least three to four months apart. (h) (i) (j) (k) (l) The Hospital shall endeavour to equally distribute standby duty amongst nurses who normally perform such duty, on a rotating basis. A tour of duty may only be scheduled with the hours of work running consecutively. The Hospital shall endeavour to equitably distribute standby duty for paid holidays and long weekends on a rotating basis. Casual nurses shall not be pre-booked unless there are no regular parttime nurses available at straight time. Reassignment shall be in reverse order of seniority of qualified nurses. K-2 The casual part-time nurse will be called for extra and uncovered shifts in accordance with Article K-1 (k) on the basis of seniority, until the casual nurse has the number of tours she wishes or is in an overtime position. K-3 7½ Hour Tours (a) A nurse will not be scheduled to work more than seven (7) consecutive days without receiving two (2) consecutive days off or premium payment shall be paid. (b) i) A full-time nurse shall not be required to commence work within 16 hours of completing a scheduled tour or premium payment shall be paid. ii) A part-time nurse shall not be required to commence work within 12 hours of completing a scheduled tour or premium payment shall be paid. (c) (d) (e) A full-time nurse who normally rotates on shifts shall not be scheduled to work more than two (2) consecutive weeks on any one shift without her consent. At least fifty percent (50%) of the full-time nurse's tours shall be on the day shift. Weekends Off i) The Hospital will grant at least every second weekend off. ii) A Full-Time nurse will receive premium pay as outlined in the contract for all hours worked on a second consecutive and subsequent consecutive weekend, save and except where: GENER02C16.docx

19 L16 1) such weekend has been worked by the nurse to satisfy specific days off requested by such nurse; or 2) such nurse has submitted in advance to the Unit Manager a request for weekend work only and such request has prior approval of the Unit Manager. The request will also contain the duration of the weekend work. 3) such weekend is worked as the result of an exchange of shifts with another nurse. iii) A Part-Time nurse will receive premium pay as outlined in the contract for all hours worked on a second consecutive weekend save and except where: 1) such weekend has been worked by the nurse to satisfy specific days off requested by such nurse; or 2) such nurse has submitted in advance to the Unit Manager a request for weekend work only and such request has prior approval of the Unit Manager. The request will also contain the duration of the weekend work. 3) such weekend is worked as the result of an exchange of shifts with another nurse. iv) In the event that a casual part-time nurse is called in for weekend work due to the unavailability of part-time staff at a straight time hourly rate, such weekends will not be subject to premium pay save and except the fourth consecutive weekend worked. K Hour Tours v) Definition of a Weekend Off A weekend off is defined as at least fifty-six (56) consecutive hours off work from the completion of the Friday shift until the beginning of the Monday day shift. (a) Introduction Extended tours shall be introduced into any unit when: i) sixty percent (60%) of the nurses in the unit so indicate by secret ballot; conducted by the Union and ii) the Hospital agrees to implement extended tours. Such agreement shall not be withheld in an unreasonable or arbitrary manner. GENER02C16.docx

20 L17 (b) Discontinuation Extended tours may be discontinued in any unit when: i) sixty percent (60%) of the nurses in the unit indicate by secret ballot; conducted by the Union or ii) the Hospital, because of: 1) adverse effects on patient care, 2) inability to provide a workable staffing schedule, 3) where the Hospital wishes to do so for other reasons which are neither unreasonable nor arbitrary, states its intention to discontinue the extended tours in the schedule. iii) When notice of discontinuation is given by either the Association or the Hospital in accordance with paragraph (b) above, then 1) the parties shall meet within two (2) weeks of the giving of notice to review the request for discontinuation; and 2) where it is determined that the extended tours will be discontinued, affected nurses shall be given sixty (60) days notice before the schedules are so amended. (c) (d) (e) Nurses shall not be required to work more than three (3) consecutive tours or two (2) extended day tours followed by two (2) extended night tours (Day, Day, Night, Night) or premium payment shall be paid. After three (3) consecutive tours or two (2) extended day tours followed by two (2) extended night tours (Day, Day, Night, Night) nurses shall have at least two (2) days off in a row or premium payment shall be paid. The introduction of 2D/2N (Day, Day, Night, Night) into a schedule will be implemented when sixty percent (60%) of the unit staff vote in favour by secret ballot conducted by the Union. Weekends Off i) Nurses shall have every second weekend off. ii) A Full-Time nurse will receive premium pay as outlined in the contract for all hours worked on a second consecutive and subsequent consecutive weekend, save and except where: 1) such weekend has been worked by the nurse to satisfy specific days off requested by such nurse; or 2) such nurse has submitted in advance to the Unit Manager a request for weekend work only and such request has prior approval of the Unit Manager. The request will also contain the duration of the weekend work. GENER02C16.docx

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